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This paper aims to present a novel DSpace-based medical image repository system planned explicitly for storing and retrieving clinical images using digital imaging and communication in medicine (DICOM) metadata standards. DSpace institutional repository software is widely used in an academic environment for accessing and mainly storing text-related files. DICOM images are particular types of images embedded with much system-generated metadata and organised using DICOM metadata standards.

The present paper talks about institutional repository software (DSpace) in archiving DICOM images. In the current study, the authors have tried to integrate the DICOM metadata standard with DSpace, which was compatible with Dublin Core (DC) and open archives initiative – protocol for metadata harvesting (OAI-PMH). After combining the DICOM standard with DSpace and the repository tested with a sample of 5,000 images, the retrieval results using various DICOM tags was very satisfactory. This study paves for the use of open source software (OSS) in storing and retrieving medical images.

The author has provided the DSpace software to recognised DICOM (.dcm) files in the first stage. In the second stage, a patch was developed to identify the DICOM metadata standard in Dspace, which has inbuilt DC metadata standards. Finally, in the third stage, retrieval efficiency was tested with a 5,000 .dcm image using the DICOM tag and the results were very fruitful.

A major limitation of this study was the size of the data (5,000 DICOM images) with which the authors have tested the system. The system scalability has to be tested on various fronts like on cloud and local servers with different configurations, for which a separate study has to be done.

Once this system is in place, DICOM users can stock, retrieve and access the image from the Web platform. Furthermore, this proposed repository will be the warehouse of various DICOM images with reasonable storage costs.

In addition to exploring the opportunities of free open source software (FOSS) implementation in medical science, this study includes issues related to the performance of an open-source repository for retrieving and preserving medical images. It created and developed Open Source DICOM Medical Image Library with DICOM metadata standard with the help of DSpace. Thus, the study will generate value for library professionals and medical professionals and FOSS vendors to understand the medical market in the context of FOSS.

This paper aims to provide image repository to the medical professional in an open source platform, which will increase the visibility of Digital Imaging and Communication in Medicine (DICOM) image in a network mode; further, the proposed system will reduce the storage cost of the images to significant level.

The authors have developed a new institutional repository model for the medical professionals cum radiologists to preserve, store and retrieve medical images from one database with the help of open source software. The authors used JavaScript programming to integrate and develop the DICOM Standard with DSpace.

Major outcome of this work is that DICOM images can be accommodated in DSpace without modifying the image properties and keeping intact the various dimensions of image viewing options. Further, it was found that the images are retrieved without any ease because of the robust indexing system.

Major limitation of this study was the size of the data (5000 DICOM image) with which the authors have tested the system. The scalability of the system has to be tested on various fronts, for which separate study has to be done.

Once this system is in place, DICOM user can store, retrieve and access the image from Web platform. This proposed repository will be the storehouse of various DICOM images with reasonable storage costs.

In addition to exploring the opportunities of open source software (OSS) implementation in Medical Fields, this study includes issues related to implementation of open source repository for storing and preserving medical image. This is the first time in Library Science field to create and develop Open Source DICOM Medical Image Library with the help of DSpace. The study will create value for library professionals as well as medical professionals and OSS vendors to understand the medical market in the context of OSS.

This paper aims to study the resulting Brag peak and secondary particles (neutrons, photons, deuterons, alpha, helium_3, and tritons) along protons’ path in tissue.

MATLAB program and MCNP code were used to read abdomen Digital Imaging and Communications in Medicine (DICOM) images and build a 3D phantom to liver in purpose to study resulting Bragg peak and secondary particles (neutrons, photons, deuterons, alpha, helium_3 and tritons) along protons’ path.

From the study, it was found that Bragg peak varies from a 2 cm depth within the tissue for 50 MeV protons to a 14.2 cm depth for 150 MeV protons; in the other hand, the total deposited energy decreases from 0.656 [MeV/g]/proton, at the depth 2 cm and 50 MeV protons, to the value 0.220 [MeV/g]/proton, at the depth 14 cm and 150 MeV protons.

As for the flow rate of secondary neutrons and photons, the flow rate of secondary neutrons takes a maximum value (peak) in the middle of the proton path, i.e. when the energy of the protons drops to the value of 30 MeV, and this maximum value of the neutrons flow rate is accompanied by a maximum value of the photon flow rate, as for the rest of the secondary particles produced (alpha particles, deuterons, electrons, tritons and triple helium), they deposit most of their energy locally.

This paper aims to present a new design in the area of basal osseointegrated implant (BOI) for oral and maxillofacial surgery using a patient-specific computer-aided design (CAD) and additive manufacturing (AM) approach. The BOI was designed and fabricated according to the patient’s specific requirement, of maxilla stabilisation and dental fixation, a capacity not currently available in conventional BOI. The combination of CAD and AM techniques provides a powerful approach for optimisation and realisation of the implant in a design which helps to minimise blood loss and surgery time, translating into better patient outcomes and reduced financial burdens on healthcare providers.

The current study integrates the capabilities of conventional medical imaging techniques, CAD and metal AM to realise the BOI. The patient’s anatomy was scanned using a 128-slice spiral computed tomography scanner into a standard Digital Imaging and Communication in Medicine (DICOM) data output. The DICOM data are processed using MIMICS software to construct a digital representative patient model to aid the design process, and the final customised implant was designed using Creo software. The final, surgically implanted BOI was fabricated using direct metal laser sintering in titanium (Ti-64).

The current approach assisted us to design BOI customised to the patient’s unique anatomy to improve patient outcomes. The design realises a nerve relieving option and placement of porous structure at the required area based up on the analysis of patient bone structural data.

The novelty in this work is that developed BOI comprises a patient-specific design that allows for custom fabrication around the patients' nerves, provides structural support to the compromised maxilla and comprises a dual abutment design, with the capacity of supporting fixation of up to four teeth. Conventional BOIs are only available for a signal abutment capable of holding one or two teeth only. Given the customised nature of the design, the concept could easily be extended to explore a greater number of fixation abutments, abutment length/location, adjusted dental fixation size or greater levels of maxilla support. The study highlights the significance of CAD packages to construct patient-specific solution directly from medical imaging data, and the efficiency of metal AM to translate designs into a functional implant.

This paper aims to compare the automatic segmentation of medical data and conversion to stereolithography (STL) skull models using open-source software versus commercial software.

Both open-source and commercial software used automatic segmentation and post-processing of the data without user intervention, thus avoiding human error. Detailed steps were provided for comparisons and easier to be repeated by other researchers. The results of segmentation, which were converted to STL format were compared using geometric analysis.

STL skull models produced using open-source software are comparable with the one produced using commercial software. A comparison of STL skull model produced using InVesalius with STL skull model produced using MIMICS resulted in an average dice similarity coefficient (DSC) of 97.6 ± 0.04 per cent and Hausdorff distance (HD) of 0.01 ± 0.005 mm. Inter-rater study for repeatability on MIMICS software yielded an average DSC of 100 per cent and HD of 0.

The application of open-source software will benefit the small research institutions or hospitals to produce and virtualise three-dimensional model of the skulls for teaching or clinical purposes without having to purchase expensive commercial software. It is also easily reproduceable by other researchers.

This study is one of the first comparative evaluations of an open-source software with propriety commercial software in producing accurate STL skull models. Inaccurate STL models can lead to inaccurate pre-operative planning or unfit implant.

The purpose of this study is to suggest the joint use of computer-aided design (CAD) and additive manufacturing (AM) technology for the fabrication of custom-made moulds, designed for the manufacture of polymethyl methacrylate (PMMA) implants for cranio-maxillofacial reconstruction to reduce their fabrication time. Even though tailor-made skull prostheses with a high technological level and state-of-the-art materials are available in the market, they are not always accessible to the general population in developing countries.

Computed tomography data were handled to create a three-dimensional (3D) model of the injury of the patient, by reconstructing Digital Imaging and Communications in Medicine (DICOM) images into an Standard Tessellation Language (STL) file that was further used to design the corresponding implant using CAD software. Accordingly, a two-piece core and cavity moulds that replicated the implant geometry was also CAD designed. The 3D-CAD data were sent to an AM machine (fused deposition modelling) and the moulds were fabricated using polycarbonate as thermoplastic material. A reacting mixture to produce PMMA was poured directly into the fabricated moulds, and left to polymerise until cure. Finally, a clear bubble-free case of study PMMA implant was obtained.

The fabrication of CAD-designed moulds with AM, replacing the production of the injury model, resulted in the reduction of the lead-time in the manufacturing of PMMA around 45 per cent. Additionally, the implant showed better fit than the one produced by conventional process. The use of AM moulds for the fabrication of PMMA implants has demonstrated the reduction in lead-time, which potentially can reduce the waiting time for patients.

Currently, the demand of cranio-maxillofacial implants at only the Hospital General de México “Dr Eduardo Liceaga” (HGM) is 4,000 implants per year, and the average waiting time for each patient is between 5 and 10 weeks, including third-party services’ delays and the time needed to obtain the economical resources by the patient. Public hospitals in Mexico lack manufacturing facilities, so patients have to make use of laboratories abroad and most of the population have no access to them. The implementation of this suggested procedure in public hospitals may improve the accuracy of the implant, increase the number of patients attended per year (up to 83 per cent) and the reduction in waiting time can also reduce mortality and infection rates.

The authors of this paper suggest the joint use of CAD and AM technologies to significantly reduce the production time of PMMA implants by producing moulds rather than the injury model, maintaining the general terms and known steps of the process already established for PMMA implants.

This paper aims to explore the feasibility of rapid prototyping for human hand bones and additional artery with topological preservation.

A serial of slices derived from spiral computed tomography human hand specimen was imported into 3DSlicer 4.4.0 to obtain a three-dimensional virtual model. The model is exported as a standard template library file. Additional arteries were structured according to the atlas and the bone model. Then, a real model was printed based on the virtual model. Measurements were approached in 11 parts of the virtual and real model.

There is no statistical difference between virtual and real model in 11 parts, and the topological characters were preserved.

This method can be used in reconstruction of clinical iconological blood vessel and anatomical education.

This paper shows that it is possible to keep the topological structure of blood vessel not only in painting but also in clinical data.

The purpose of this paper is to discuss different 3D printing techniques and also illustrate the issues related to 3D printing and cost-effectiveness in the near future.

A systematic literature review methodology is adopted for this review paper. 3D printing is in the initial phase of implementation in healthcare; therefore, a study of 70 research papers is done, which discusses the research trends of 3D printing in healthcare sector from 2007 to mid-2018.

Though additive manufacturing has a vast application, it has not been used to its full potential. Therefore, more research is required in that direction. It is revealed from the review that only a few researchers have explored issues related to cost, which can clearly show cost-effectiveness of adopting 3D printing.

This paper helps in understanding the different 3D printing techniques and their application in the healthcare. It also proposed some methods which can be applied in delivering customized pharmaceuticals to the customer and to improve surgery.

Recent studies indicated that the level of adoption of health data standards in healthcare organisations remains frustratingly low worldwide although health data standards have been perceived to be an essential tool for interoperability barriers within health information systems. The relevant literature still lacks significant studies concerning the issues of the adoption process of health data standards in healthcare organisations, and in particular those in developing nation. In addressing this gap in knowledge, the purpose of this paper is to investigate the adoption decision of health data standards in tertiary healthcare organisations in Saudi Arabia, and to develop a technology-organisation-environment list that contains the critical factors influencing their adoption.

A multiple-case study methodology was conducted in Saudi Arabia and different data collection methods were used included semi-structured interviews with different decision makers at various levels and departments of the subject organisations, and documents analysis to identify critical factors to the adoption decision of health data standards.

The findings demonstrated a list of key factors from different aspects impacting the adoption decision of health data standards in the subject organisations. The technological factors are complexity and compatibility of health data standards, IT infrastructure, switching costs, market uncertainties, systems integration and enhancing the use of advanced systems. The main organisational factors are the lack of adequate policies and procedures and information management plan, resistance to change, data analysis and accreditation. The core environmental factors are the lack of national regulator and data exchange plan, national healthcare system and the shortage of professionals.

The results from the qualitative data were difficult to generalise to other populations. For example, the structure of the health sector varies from country to country as each health sector has its own characteristics that affect and are affected by national circumstances. In order to provide a more grounded theory resulting from a qualitative study, further examination by conducting quantitative studies is required. In addition, the TOE approach does not take into account the sociotechnical issues and further research is required in this area.

The investigation into the adoption decision of health data standards in tertiary healthcare organisations in Saudi Arabia has led to the development of a technology-organisation-environment list that contains the critical factors influencing their adoption. The research outcome has addressed the gap in knowledge of the adoption of health data standards in healthcare organisations. It also provides the decision maker, and in particular those in developing nations, with better understanding of the adoption process of those standards to better judge and to develop suitable strategy of adoption interventions.

Although recent studies indicated that the level of adoption of health data standards in healthcare organisations remains frustratingly low, the prior studies related to health data standards missed out on the exploration of the adoption decision of different types of health data standards in healthcare organisations and the critical factors influencing their adoption. Research on health data standards adoption based out of a developing country such as Saudi Arabia can also potentially provide several new insights on standards practices.

This study aims to generate different three-dimensional (3D) foam models using computer tomography (CT) scan and solid continuum techniques. The generated foam models were used to study deformation mechanism and the elastic-plastic behaviour with the existing experimental foam behaviour.

CT scan model was generated by combing 2D images of foam in MIMICS software. Afterwards, it was imported in ABAQUS/CAE software. However, solid continuum model was generated in ABAQUS/CAE software by using crushable foam properties. Then, the generated foam models were sets boundary conditions for a compression test.

CT scans capture the actual morphology of foam sample which may directly an image based finite element foam model. The sectional views of both the models were used to observe deformation mechanism on compression. The real compressive behaviour of foam was visualised in CT-Scan foam model. It was observed that CT-scan model was the more accurate modelling method than crushable foam model.

The internal structure of foam is very complex and difficult to analyse. Therefore, CT-scanning may be the accurate method for capturing the macro-level detailing of foam structure. A CT-scan foam model can be used for multiple times for mechanical analysis using a simulation software, which may reduce the manufacturing and the experimental cost and time.